Search › Georgia › 163WC0200X
Matthew Brown
NPI 1871487165 · on the registry since 2025 · sole proprietor
Practice
- Address
- 119 Kenninghall Ct Se
Smyrna, GA 30082 - Phone
- (646) 812-4838
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Also registered as
- 163WC0200X
390200000X
163WC0200X - Licence states on file
- GA, NY, HI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia